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空泡蝶鞍症是由于鞍隔缺损或垂体萎缩,随之蛛网膜下腔疝入鞍内,导致蝶鞍扩大、腺垂体和视交叉受压,从而产生一系列症状。该病在临床上十分少见。近年来随着电子计算机断层扫描、核磁共振显象术等影象诊断技术的应用,空泡蝶鞍症有增多趋势。例1 梅××女48岁住院号54400 1988年4月,患者在体检时偶然发现双眼视乳头水肿,遂收住院检查。近2个月,自觉双眼眶偶有胀痛,右眼前有黑影飘动。全身无何不适。既往无特殊病史。血压114/76mmHg,常规体检正常。血糖、血脂正
Vacuolar saddle syndrome is due to the septal defect or pituitary atrophy, followed by subarachnoid hernia into the saddle, leading to enlargement of the sella, pituitary and optic chiasm compression, resulting in a series of symptoms. The disease is clinically rare. In recent years, with computer tomography, magnetic resonance imaging and other imaging diagnostic techniques, there is an increasing trend of vacuolar saddle. Example 1 Mei × × female 48-year-old hospital 54400 In April 1988, patients occasionally found binocular papilledema on physical examination, then admitted to hospital for examination. Nearly 2 months, conscious occasional pain in the eyes orbital right eye shadow fluttering. No discomfort throughout the body. No special medical history. Blood pressure 114 / 76mmHg, normal physical examination. Blood sugar, blood lipids are